Grüneberger A, Geier G
Geburtshilfe Frauenheilkd. 1980 Jan;40(1):12-6. doi: 10.1055/s-2008-1037015.
50 out of 657 stress-incontinent women were explored before and 19 months after vaginal hysterectomy with anterior and posterior colporrhapy as follows: 1) degree of incontinence, 2) lateral urethrocystography, 3) simultaneous pressure recordings of bladder urethra and rectum. Urodynamical investigations showed a continence zone in one third of the patients after surgery. The descensus was normalized in one third and improved in two third of the cases. The operation failed in 6%, 22% had an improvement, and 72% felt cured from their stress-incontinence. Our investigations show poor correlation between clinical symptoms, urodynamical, and radiological findings.
对657例压力性尿失禁女性中的50例,在阴道子宫切除术加前后阴道壁修补术前及术后19个月进行了如下检查:1)失禁程度;2)尿道膀胱造影;3)膀胱尿道和直肠压力同步记录。尿动力学检查显示,术后三分之一的患者存在控尿区。三分之一的病例阴道脱垂恢复正常,三分之二有所改善。手术失败率为6%,22%有所改善,72%感觉压力性尿失禁已治愈。我们的研究表明,临床症状、尿动力学和影像学检查结果之间的相关性较差。